Event 15: Favorite Studying, Test Taking, And Clinical Tips with Nurse Liz

00:01 Hello, friends. Welcome to surviving nursing school with myself.

00:06 We're going to be talking all things nursing school today of not like of how to survive it and hopefully get a head start on tackling, studying, test taking and clinical.

00:18 I'm going to give you my favorite tip from like all of those.

00:21 And then we're going to discuss some new community fun stuff.

00:24 It's just going to be a fun day. Um, hopefully we will have time for a Q&A at the end. I'm going to try to talk quickly, but if you know me at all, you know that that is not like my my life specialty.

00:33 Um, that way we can get through it.

00:35 So if you do have questions, feel free to leave them. And then I think we'll mark them and we'll answer them at the end. Um, hello everyone that is joining.

00:41 Let us know where you are from and what year you are in nursing school.

00:46 So we kind of get a feel for like who everyone is and where we are in the world.

00:51 I'm in Pennsylvania and I went to nursing school a long time ago. We're not going to talk about how long. It's fine. This is me.

00:56 I look very happy here.

00:58 Um, I'm a family nurse practitioner.

01:00 I'm part of the Lecturio like marketing team.

01:02 But really my job is just like talking to students.

01:05 It's pretty grand. Um, Bilal is from Kurdistan, Iraq. Oh, you might win for the most, um, exotic place we have so far.

01:11 We have London. Very. Oh, it's late there.

01:14 Um, California, New York City, first semester.

01:17 Hello from Maryland. Hello.

01:19 Um, you're, like, kind of my neighbor.

01:22 Calgary. Perfect. So first we're going to have poll questions throughout, because if you're anything like me, your attention span is kind of like a little flitting bird. And it leaves.

01:31 So I like polls because then it makes you focus on something, and then you can come back and you're like, okay, I can click on this and it gets your brain back. So we're going to have polls throughout in our very first one is how familiar are you with Lecturio? It should pop up in your polls.

01:45 Chat. Also, if you're not watching this on a Chrome browser, I very much recommend leaving and coming back with a Chrome browser. Uh, it makes it a little bit happier.

01:52 So we have premium membership.

01:54 I only use the free version.

01:55 I have used it previously, but not anymore.

01:57 What happened there friend? I. I watched the videos on YouTube or I'm new to Lecturio.

02:01 We have mostly a split between premium and new.

02:05 We'll come back to the answer of the poll or we'll let it sit for a minute.

02:09 Um, so we'll see where we're going.

02:11 Nobody found the videos on YouTube. Um, that's part of my job.

02:14 So if you could all do a slightly better job finding the videos on YouTube.

02:17 Friends, come on, help me look good.

02:20 They sit in review and they're like, why aren't people watching the YouTube videos? So we got to get you from the YouTube videos.

02:25 Okay, so we have a tie between premium memberships and then people who are new perfect. So um, welcome everyone who is new.

02:32 Our second question, um, kind of like I already said in the thing, what is your nursing career status? Studying for it. Are you in an MSN program? Are you in a BSN program? Are you working as a nurse or are you other? Um, if you're other, please let me know what you're doing. What are you are you a Pre-nursing student? Where are we? In the mix? Um, I guess I could have put LPN on there.

02:53 That would have also, um, been helpful, but we have a lot of ASN ADN nurses. Nobody's in their masters right now.

03:02 Bsn working as a nurse.

03:04 One person. Hello. Welcome and then other again.

03:07 Let us know what your are other and if you've attended an event with us.

03:11 Um. Madeira says I'm hoping to do an accelerated program next year. Okay, so we have a future right there.

03:16 Perfect. Lpn to RN bridge.

03:19 Awesome. Margot. Um. Selena said second year B-1 technical school.

03:24 That's so cool. Um. Go you South Africa? Awesome. Taking a capstone for the second time has finals next week.

03:31 I'm trusting this helps me crush my cat exam on Friday and finals next week.

03:36 No pressure, no pressure.

03:39 It's fine. Everything's gonna be fine. All right, let's get started. So that she can pass her exam on Friday.

03:44 Because now that is my sole goal in life.

03:47 Is to help her get through.

03:49 Or him unsure. Let me know.

03:51 I like that name, though. Um.

03:53 Goals for this session.

03:54 Okay, we're going to learn how to study effectively with my favorite study tip that we're going to go over my favorite test taking strategy that had I known it in nursing school, would have changed my life. And then we're going to go over my favorite clinical tip. Fourth, we're going to introduce you a new, um, community. I forgot the word community.

04:14 Community real quick where I will show you kind of a place where it's just for you.

04:19 It's like we built the house, but you can come and live in it. And I made it so very biased. I think it's pretty great.

04:24 And then we're going to have fun, obviously.

04:26 And if we have time, we'll do a Q&A. Okay.

04:28 Do you study? When do you study.

04:30 Do you struggle? I very much struggled when I studied because they would assign you the whole textbook. Right. And you're like, what am I even supposed to do with this other than like stack things on it and use it as a tripod? I don't know what else I'm supposed to do with this textbook, because there's so much and they're just like, oh, just like, read all of it.

04:46 Um, this is going to help you focus things down and actually know what to study so that when you go and look at it, you're not super overwhelmed, because at least that's how I felt in nursing.

04:57 In NP, school was just super overwhelmed.

04:59 So the very first thing we need to focus on here is everything you study in nursing school is going to come back to safety.

05:08 Okay. So whenever you're reading a question, wherever you're looking at something new, I want you to look at it through the vision of safety first, okay? Because at the end of the day, the NCLEX and everything like that is really just asking you, do you know how to be safe in this setting? Right. So in order to make sure you're safe, we also want to bundle the information okay.

05:32 And I'm going to show you how to do this. I'm just kind of introducing the topic because we don't want to memorize single facts.

05:38 Right. When you're looking at like a list or a textbook of information, it's scattered, it's all over the place.

05:44 And you're like, well, this is a fun fact and this is a fun fact, but I have absolutely no idea how this all fits together and what I'm supposed to do with it. And so we're going to combine safety and then fun facts and make them safety fun facts by bundling them together in a box and helping your brain understand them more easily. Okay. All the basic information.

06:05 We're going to take the puzzle, and we're going to give it scaffolding because it's so much easier to figure out where things go in a puzzle.

06:12 Your brain can be the puzzle here if you already have an outline, right? If you have sticky things to stick things to, versus if you're just doing it in the beginning, it's going to make it a lot easier to come all together, right? And the more you do this, also, the easier it's going to get because your brain like memorizes pathways and then all the information goes.

06:30 So the more you train your brain to think safety fun facts, it's going to be great. So you might see a list like this, right. Um, and your teacher gives it and it's like, oh, these are the side effects of corticosteroids.

06:42 Check with your doctor. And it's like all of these things and you read through it and you're like, well, that's fun. Surely I'll remember it. And then, um, have any of you gotten to your test after you're like, surely I'll remember all of those side effects, and then you're reading your exam and you're like, I remember zero of those side effects because I just read a list and it's not sticking.

06:59 You, my friend, would not be alone.

07:00 Um, the long lists won't actually, like, do anything that's not super helpful.

07:05 But if you look at it and you imagine a person in your head.

07:08 Right? So if you think I'm going to imagine a, I like to make case scenarios for every single thing I'm studying.

07:15 Like, I picture someone in my head and I make it up.

07:18 Sometimes I'll name them if I'm feeling ambitious.

07:20 And you imagine, like, okay, this person is going to have, um, so they like a moon face, they're going to have facial hair, maybe like a buffalo hump there. When I'm looking at their labs, it's going to be, you know, their, um, blood pressure is going to be up.

07:35 They might have more weight that they're holding on their middle. They're going to have brittle bones. So maybe they have they have to walk with a cane because they've broken their leg. You're imagining it like all coming together in a picture.

07:45 And that is going to help.

07:47 And you'll also connect the dots instead of focusing on one thing like, oh, respiratory system, you're thinking about, like, everything and how it goes together.

07:57 Uh, Jodie said, completely blank out when the examined in front of me. And the way the question is worded throws me off.

08:03 Part two of this, my friend, is going to be very helpful for you.

08:06 Um, we're going to work through how to answer questions.

08:09 So in order to you might be like, that sounds great, Liz, but I have no idea how to do that.

08:14 That's fine. That's why we're here. Addison's disease.

08:17 Let's say you have to learn about Addison's disease.

08:20 I want you to. For every topic that you have to learn, write out, make a table, whatever it is, of these four categories.

08:29 Okay. What is the diagnosis? Is worst case scenario.

08:33 All right. You're going to put on your E.R. hat, and you're going to think what could go the most wrong.

08:38 And how would that kind of look.

08:39 How would I recognize that and what would I do? So for every single thing you learn while you're going through and you're learning all of this new information, I want you to put it into these categories.

08:50 Right. Because this is what you actually have to know.

08:53 You don't have to know Addison's disease and a list of information.

08:56 What the exam really wants you to know is what is going what is the worst case here, how are you going to stay safe and how are we going to work through that? So for every single topic that you learn, make a table like this.

09:09 Exactly Jodie. And concept map kind of however you want to do it, whatever makes your soul happy. I would probably put a lot of color and like draw doodles, but you do whatever makes your soul happy and that is going to help you think of safety for everything.

09:24 And it takes a while. At first it does, I'm not going to lie.

09:27 But as you do it more and more it flow.

09:30 It like makes it gets quicker because you're used to the format of it and you save a lot of time on the studying end of things, because you've already kind of chunked all this information together and built part of your puzzle, and then you can just recall it better. And this is going to tie in how we take an exam to.

09:45 So worst case scenario for a addisonian crisis.

09:50 Um, they're going to have inadequate.

09:52 You can write down, like, what causes it, right? They're going to have inadequate amounts of adrenal hormones, cortisol, whatever, blah, blah, blah. Um, and yeah, it does require effective time management skills.

10:03 Um, we have a so we also just came out with, um, I just did a nursing school survival guide, which we'll talk about at the end.

10:11 But in there I talked about time management and planning your whole semester in a way that is realistic, gives you a little bit of break time and doesn't, like, totally overwhelm you. So, uh, you can always go watch there's a whole playlist. It's like nursing School Survival Guide is what it's called, and it's everything I wish I had known about nursing school, um, in a guide. So after that you can go.

10:33 If you want to watch that video.

10:35 I think it will be helpful for making doable lists, if that makes sense, because this will take time. So then how would I recognize it? Um, then you fill out that comment column.

10:45 Does anyone know how you would recognize an adrenal crisis? Let's see. Um, so this is your, um.

10:53 Well let's see. We'll give you a minute to see if anyone can remember any symptoms of, uh, Addison's disease.

11:01 Um, do do do do. I'm going to put it up here.

11:05 What would your vital signs be? Would your blood pressure and your heart rate would be the a B high or they would would they be low? And you can see how this is kind of like already pulling people into pulling you into like the assessment part of the question, right, where you're already expecting, you're walking through. So not only do you understand the patho, but now you're going to start to recognize the vital signs, um, you're going to have you would have a high heart rate.

11:28 Um, and then what would we kind of do? And we're going to go through and I'll show you what Addisonian crisis would really look like. But what would you do? You would replace the steroids.

11:36 You would have rest and you would replace the fluids.

11:39 So now as you're studying, you've created this entire map.

11:42 And rather than just memorizing facts, you can tell yourself a story and you'll be like, okay, so Miss Addison comes into the emergency room and, um, you know, they're going to present. They know how you would recognize it. You go through that. And this is what I am most worried about.

11:57 I'm worried about an addisonian crisis.

11:59 And this is what I would do. And you have all your safety interventions, all their little ducks in a row, and you can answer pretty much any question now that you have this information. Um, and so we're going to go through the process of um, understanding that you can do this.

12:14 We're going to work with our brains, not against it.

12:16 We're going to put the information in nice little boxes. Um, and that is how you are going to best study in order to make sure you are ready for exams. Does that make sense? If anyone has any questions, let me know in the comments. As we move on to what are you going to do with this information? Because I've taken all this time to make all these charts lists.

12:36 Now, what do I do in the test? Do you feel overwhelmed by exams? Yes, Yes. Um, two of you have said no, and I teach us your ways, because that's that's wildly impressive.

12:49 Good for you. Um, I felt very overwhelmed by exams.

12:52 I was not a good test taker, and I never developed a strategy.

12:55 I stole this one from, um, Prof.

12:57 Laws. If you watch any of our patho or pharm or Dose calc or most of our lectures, um, she teaches them. She's the best.

13:04 And this is who I shamelessly stole this from. So I never thought of this. I never got to implement it. But you should, because it's genius.

13:10 Okay. Tackling exams? Oh.

13:13 Virginia asked if we can see the chart again. You'll be able to view this whole thing afterwards. We'll email it to you and then you can copy everything over.

13:22 Is that okay? Um, so we'll just, like, email it back out and you can look at it again. Um, yes. We'll send you a recording.

13:29 Perfect. So moving on to tackling exams, which most of you, like me, are overwhelmed by.

13:35 Um, we're going to focus specifically on my arch nemesis, which is choose all that apply, uh, because it's evil, and we're going to work on how to approach that question if it also makes you want to just feel sad inside. Amanda.

13:49 This first test is, um, is tomorrow, and, uh, perfect. Perfect, perfect.

13:55 Um, you're going to do great.

13:56 Hopefully this helps. Uh, so when you are reading a question we are going to go through and look at, I want you to think about picking out these four things. Okay. We're looking for we're going to dissect the question, uh, because like someone had said earlier, like I don't even know how to approach the question. You are not alone there, friend. You are not alone. These are difficult to approach because they're overwhelming. So we're going to look for in the question, we're going to break it apart without even fully reading it yet.

14:25 Okay. So we're going to read it, but we're not like reading it to really understand. We're going to make it easier to look at.

14:30 I want you to look for particular context.

14:33 Where are we? Who is this patient? Um, how old are they? Where are they? Kind of the understanding, the basic situations.

14:40 Are we in a grocery store? Are we on a med surg floor? Where are we to identify underlying whatever you want to do, the diagnosis or procedure.

14:51 So what is happening here? Do they have type one diabetes.

14:54 Do they are they in the middle of a cath lab procedure.

14:57 Are they in the or like what is happening to this human in what environment which we know in number one. Number three assessment numbers when they give you, uh, vital signs, when they give you a blood pressure, identify and right, like literally right on your test if you can high low that way you don't have to hold that in your brain.

15:19 Because as much as you can get from your brain barfed onto the page, you'll be able to look at it and not have to, like, juggle it in your brain.

15:26 Right? So if they give you a heart rate, right, a little up arrow, if it's high, a down arrow or like a if it's neutral, you know what I mean? So for every single thing go through and say, this is high, this is low, this is normal.

15:38 And then same for assessment data.

15:41 So this is going to be when you are um they say oh the baby's abdomen is incredibly rigid and hard. Is that normal or is that abnormal.

15:51 Just write down abnormal or normal.

15:53 Is this assessment finding normal or abnormal.

15:58 Would you expect this in a healthy person.

16:01 So this is the four, um, the four major things.

16:05 And again we'll send out this whole recording if you want to after.

16:08 So you can write down these.

16:10 I would probably write them down at the top of my notes initially, until I've gotten in the groove enough right to be able to ask myself these questions.

16:18 It will become second nature, but until it does, it can be hard. So remembering that safety is what we're being tested on.

16:26 We want it to be safe and the situation will change, right? Because it's not just safe in general.

16:31 Nothing in nursing is as easy as like, oh, is this safe in general? Because it always comes back to is it safe for this person in this particular setting? What is the most safe for someone if they collapse in a grocery store is not going to be the safest thing if they collapsed on a med surg floor, right? So the setting, that's why we tore it apart to identify it, because it's going to be very, very different depending on where you are and who you are. Um, when we look at different patient variables, these are going to be things like age, gender, um, what are their complaints? What are they feeling? What medications are they on? Um, this is we kind of want to look at all of these things and parse it out, pull it out, underline it, circle it, whatever you want to do.

17:12 I would personally probably do a thing where I circle all, um, like setting information.

17:19 I underline all patient information.

17:22 I draw up and down arrows and write them to the side with like vital signs or assessment findings to like, pull it out.

17:28 But you do you friend, whatever makes you happy.

17:31 Particular setting again like is this an elementary school field trip? Is this home health acute care, emergency room.

17:36 All of these are going to have different resources. So the safety information is going to make you it's going to change how you think about this.

17:45 Right. And who does says sometimes I forget I know English when I'm going through questions. Same same right I read it I'm like that.

17:51 That can't have been in English.

17:54 It is unfortunately. Okay.

17:56 So when you're going through these questions, you've pulled out all this information and we need to know we want to keep you away.

18:03 Really remember these questions or really asking you like they're assessing your safety. What is the imminent danger.

18:08 What's going to kill this human.

18:10 Um, and then always prioritize airway, breathing, circulation. And what is the first thing that they probably need to be safe? Okay. First thing to keep them from dying.

18:20 And we prioritize airway breathing, circulation.

18:23 Strategy number one. Okay.

18:25 Um, we are going to want to be as particular as possible here.

18:29 Okay. We're not going to test questions.

18:32 We'll try to trip you up with, you know, like generalizations, something like that. There's usually more than one right answer, especially with choose all that apply. So when you're going through the question, you just want to be as focused and try not to overthink it.

18:47 Um, but if it uses words like any all, but be very careful in particular when you're looking at those um, only uh, because that's telling you this is literally the only case. Can you really not think of any other case where this would not be happening? We can almost always exclude those, but not always. But that's just like a little thing to tuck in the back of your mind. If questions are having like only always something like that, look at it just be very questionable.

19:15 Okay. So we're going to do a practice one because I know a lot of that. Like it's very abstract and I totally get that.

19:21 So we're going to go through it together.

19:23 So hopefully some of you will help me and we'll see if we can pick out.

19:26 Um, first, can you pick out the particulars of the situation? So like, um, who is the patient? Like the particulars? Well, you know, particulars about the setting and then particulars about the patient.

19:38 Um, and then we'll also want to go through.

19:40 We're going to want to pick out the diagnosis.

19:43 Right. We're going to want to look at any other identifying factors.

19:49 Good. Melissa 56 year old female.

19:50 That's what we have for a particular person.

19:53 Um, and then they're in the emergency room.

19:57 Um, Jody Ann. Yep. They have diabetes.

19:59 So that's good to note.

20:00 Um, they took insulin.

20:03 Um, and then if you or they did not take insulin.

20:06 But insulin is medicine that they do need to take.

20:08 Um, if someone did not take insulin, uh, thinking about safety, what would we be worried about? Um, so that's even kind of like going a step farther.

20:19 Um, and they have felt nausea.

20:21 Exactly. Mary. Nausea and tightness in their chest for the last 4 to 5 hours.

20:26 Um. And, yes, if they did not have, um, if they well, if they would kind of depend.

20:33 So they would probably have, um, hypoglycemia.

20:37 Right. Because their blood sugar is high because they don't have the insulin exactly.

20:41 To come in and bind it and bring it down.

20:44 So we would be looking at hypoglycemia.

20:46 Exactly. Um, chest pain 4 to 5 hours were in the emergency room.

20:50 Great. So we have you guys pointed out pretty much all of those particulars. They did not take their insulin this morning. So we would expect, um, you know, going back to if you just look at this, did not take their insulin this morning has diabetes.

21:03 What is worst case scenario putting on our ear hats.

21:05 We're like, okay, I am most worried about them having hypoglycemia.

21:10 Um, and then they're obviously symptomatic for it.

21:13 They're feeling nauseous um, tightness in their chest for the last 4 to 5 hours. So you guys already picked out. You're already doing the thing. You're doing the thing. This is how you could structure it.

21:22 You could write little notes to the side saying, these are the concerns. Where are we? But again, you can underline, highlight, do whatever your heart makes you happy. Um, the next one we're going to look at is I want you to reword this using your own words. Right. So now you can kind of disregard the question.

21:40 Just put it aside. We haven't even looked at the question yet. Right. We have not even looked at what it's asking us yet.

21:46 We are just analyzing the situation and trying to understand it.

21:50 Before you even read the like, what the question is actually asking you.

21:54 And way before you look at the answers, you have not looked at the answers yet.

21:57 Friends you are. That's overwhelming.

21:59 So I would describe this to myself as, all right, so we have a 56 year old female.

22:03 They're coming in. They have chest tightness.

22:05 I'm imagining this person in my head as I think about it and describing it to myself.

22:10 Maybe I'm even giving myself a little bit of report. 56 year old female presenting 4 to 5 hours of chest pain and tightness. They did not take their insulin this morning, so we're worried about hypoglycemia.

22:19 We have not gotten a glucose check yet.

22:21 You know, whatever you want to say in your head, whatever story makes you happy. Um, we have our particulars.

22:27 Um, when we're going through now, we're going to apply.

22:30 Remember how we studied and we put things in categories.

22:32 Um, we're going to. Okay, hang on one second.

22:36 My brain is going faster than my words.

22:38 So that was the how you kind of go through a question, right? We have all of that.

22:43 We're going to move on to another example where we're going to then add on to that and then address the question.

22:49 So this one was just kind of how would you break it apart and how would you describe it to yourself. And now we're going to go back to the addisonian patient that we studied about in part one. And we're going to apply a question to this.

23:01 Okay. So second example a client has been diagnosed.

23:05 And again if you guys can think of any of the particulars um do let us know, uh, what the particulars are in the, um, Chat for this is a new patient, our, um, very nice patient with diabetes.

23:17 They were like, hey, you should probably take your insulin. They found her blood sugar was high, and they gave her insulin, and she's feeling better now. She went home.

23:22 Um, this is a new person coming in with Addison's disease.

23:27 Um, diagnosed with Addison's disease ten years ago and is being admitted to a med surg unit. What symptoms might the nurse expect for this person when experiencing extreme stress? Okay, so you read that and your brain is like mine and I'm like, I don't know, like everything has shut off.

23:43 I don't remember anything.

23:44 So we're going to break down the question and not address the actual like what it's asking us yet. So particulars.

23:50 What do we know about this person? Um, they have been diagnosed ten years ago with Addison's disease. Um, perfect.

23:57 They're on a med surg unit.

23:58 Perfect. Now, once we are looking and we've broken all of these things up because they haven't given us a physical assessment, they haven't given us vital signs. Really? All we know is this person is here.

24:09 Um, they have this history, and this is where they are.

24:12 So then we go back and we look and we say, okay, I don't know a whole lot, but what do I know? And we go back and we think when I was studying about Addison's disease, what did I chunk into those four categories? Right. The diagnosis was the first one and the second one is Addison's disease.

24:28 Worst case scenario. And what was the worst case scenario for Addison's disease that we put together when we were studying.

24:36 So you imagine your person in your brain, you're like, who did I think of when I made Addison's disease? And when you think Addison's disease, um, worst case scenario is going to be does anyone know what you're the most worried about? If someone has Addison's disease, at least in this situation, um, what would be like the.

24:54 I really don't want you to have this.

24:57 Okay, good. You guys are, like, one step ahead of me. It's Addison's disease. Uh, or it's Addison's.

25:02 I typed it wrong. It's addisonian crisis.

25:05 Um, is what you our particulars.

25:07 Yes. So our particular addisonian disease.

25:10 Worst case scenario. Addisonian crisis.

25:13 Yes. We do not want them to have addisonian crisis.

25:15 That's the second part of the chart, remember? And then the next one, which you guys are already doing, which is perfect, is what would I expect to see? I would expect to see good low blood pressure.

25:27 Um. Uh, Noreen said blood test or measuring for sodium and potassium and cortisol.

25:31 And then think, what would I expect those to actually look like? Right. Weakness. Confusion.

25:36 Lower back pain. Lower extremity nausea.

25:38 Vomiting. Diarrhea. Low blood pressure.

25:40 Low blood sugar. So these are all the things that you're already thinking of.

25:43 Um, when you're not even really looking at the question anymore, you're picturing this person and you're like, I don't want them to be in an addisonian crisis, and this is what they would look like if they were going to be in an addisonian crisis. And we go back to thinking of this, right? We think they have that. Vital signs change. What would our assessment numbers.

26:01 We don't they didn't give them to us. But what would we expect to see if they were in that. And we already answered again.

26:07 They didn't give us assessment data. Um, but we know it's low blood sugar, low blood pressure. Um, what are labs we're going to be? And now when you go through, you already have.

26:19 And when, um, I think I missed.

26:21 What would we do about it? So what would we do about it? We would replace or replace the steroids.

26:27 Right. Because Addisonian crisis is you don't have any steroids.

26:29 We would rest and we would replace fluids.

26:32 So we have already filled out.

26:34 We already know everything that we would do. What were the most worried about and what we would expect to see. So when you go through the question, you can go through every single one and just say, oh, I'm going to read this and is it true or false based on all of this that I already know, I'm going to go one by one because it said, what would you, you know, expect to see right down? Um, would you expect what symptoms might the nurse expect for this client experiencing extreme stress. So extreme stress is going to put you into addisonian crisis.

27:03 Um, would you expect to see increased inflammation response and high blood glucose levels? No, no. Um, so we can mark that off.

27:12 So say this was choose all that apply. You cancel it out. You're like nope I would not expect that. And then here remembering even if you can't um, remember everything about a question, right? You might be able to remember.

27:25 Say you don't remember if it's high or low blood sugar, right? You're like, I, for the life of me, cannot remember if this is a high or low blood pressure condition. Think about, since you already have the whole picture.

27:35 Maybe you'll remember that you don't have enough cortisol.

27:38 What happens if you have too much cortisol? Right? Um, because we've remember we thought back to the picture of the person with high cortisol levels in the very beginning, and that person had high blood sugar.

27:49 So if we have someone with low cortisol, we probably have low blood sugar, right. Kind of the inverse of it. So that's a good way to like also think through it. Um, and you guys are already guessing it. It is it is indeed for because we're going to go through and we're going to eliminate them all just on the facts that we thought through in our head. Do vital signs associated with Addisonian crisis give you increased blood pressure? No, it gives you low blood pressure.

28:12 Um, again. So and the third one, does it give you increased fatigue? Yes. However, not increased blood sugar.

28:19 So you can also cross off three.

28:21 And this is going to keep you from going back and questioning yourself, because you already worked through it so methodically that there's nothing to go back in question. You know what I mean? Yes, it's going to give you low blood pressure and low glucose levels, which you already came to that conclusion before you even read the question. Um, so go through and say why.

28:41 And you guys already have. We just did.

28:42 It's not that because the levels are wrong.

28:45 And then you go through it and you arrive at four.

28:47 In this case it was just four.

28:49 Um, and then make sure when you're reading the last sentence that you really, really after you've analyzed the whole question, read the sentence, the last sentence, what they're asking you, maybe a second, third, fourth time and put it in your own words, because sometimes they might be asking you the opposite of what you know.

29:08 They'll throw in weird words.

29:09 And because you might read that and you're like, okay, they're going to ask me to identify what's an addisonian crisis. But maybe they're saying, what blood? What finding would reassure you that this person is not in Addisonian crisis.

29:21 Right. They could trip you up like that because they're. Because they're mean. Um, so the last sentence can change everything. So just make sure when you're finally get to the step of reading the question, you really look at it and see, what is this really asking me? Um, things are going to look much different if it says what indicates the need for further patient teaching? What requires immediate follow up or intervention? Which statement includes and indicates the patient does understand the instructions? These are all ways to ask safety questions, but they're tweaked.

29:51 Some of them, they're looking for an error. And some of them they're looking for things that are correct, if that makes sense.

29:57 So let me know if you have any questions.

30:00 Other questions on testing skills.

30:02 We're going to really briefly go through my favorite clinical tip.

30:05 It's very quick. Um, and then we're done with our big three tips.

30:10 And we can look at the community stuff.

30:12 Um, and do a Q&A. So if you have any other questions on.

30:15 If that didn't make sense for tests, let me know if it does make sense.

30:18 If you feel like that could be doable. It gets a lot quicker as your brain goes through it, and the more your brain clumps those things, it goes so much faster, right? So your brain just kind of like goes woop. And it follows those paths much quicker because it's already like navigated the path.

30:33 It's not it's first time doing it and it's much easier the second time.

30:36 So what is something that you personally find challenging about clinical? Um, I found it difficult in clinical that I, the people kind of never knew what I needed to know. And I learned how to, like, hang an IV piggyback 15 times, but I had never done like something else.

30:59 And I didn't always know what to do if I had, like, downtime or. And I just felt like a little lost, um, soul. So hopefully this will help you a little, Virginia said, just being calm before they start.

31:11 I'm legit scared and that's very, very understandable.

31:15 Um, Virginia and, um. Yeah.

31:17 Confidence. We will talk about that a little bit at the end, too. I'm pretty sure we're going to have time at the end.

31:24 Um, I'm going to mark it as a question.

31:26 Um, and we'll go through some tips for that as well.

31:30 So, but my biggest tip, biggest tip for clinical is understanding, um, first what you know and what you don't know, right. Um, you and understanding that no one expects anything from you, which is kind of a relief. Okay.

31:46 Because it's I, I remember thinking as a nursing student that everyone expected me to know all these things. And then when I got out there and, um, was practicing, I expected my students to know nothing.

31:57 I'm like, well, why would you know anything? You haven't even graduated yet. You know, because you do learn a lot on the job.

32:02 So first, just understand that the nurses you're going to work with, they they do not expect you to know everything.

32:08 So it's a perfect place to really learn and advocate for what you do want to see.

32:14 Um, so if I could give you one knowledge.

32:19 One nugget of knowledge for the day with clinical, I would want you to list out all of the skills.

32:26 Right? You probably have a list of skills that your teacher gave you.

32:29 Um, of you have to learn how to do all of these things by the end of this semester, right? And it's pretty long.

32:35 Maybe you have to do each skill twice or whatever in clinical. Think of all of those down, like bring them in a notebook, um, to clinical.

32:42 Like a little tiny little notebook. You can write things in or in your phone, a note in your phone, write down all the skills you want to do, and then ideally, maybe a few that you think you might even be able to learn on this unit.

32:54 And when you go and you meet your nurse for the day, show them. Either show them the list or tell them what you would like to learn that day and pick one to start with.

33:04 Just pick one skill or maybe two.

33:06 Show the nurse the list that you're working with and be like, hey, um, does any of this align? Do you think I could learn any of these skills? Please don't pick more than 1 or 2 because that's going to overwhelm everyone.

33:18 Are there any skills on this list that would match our patient assignment today? And they can look through it, and they're going to be really easy to be like, oh yes, I can teach you.

33:25 You know, we are going to we have a patient with an Ng tube.

33:28 You can learn how to use that.

33:29 And we are um, we have someone who we do have to access a central line or we have to change their dressing or whatever, and the nurse is then going to be able to pick 1 or 2 that is manageable to them, which is both less overwhelming for the nurse you're working with. And it really gives you a good example of what you're going to be seeing ideally, especially if it's something where they're like, oh, we actually have a couple patients. We're going to be doing this with you. You can watch me the first time, you can do it the second time, and then we'll practice a few times after that. Um, there's a common thing in healthcare of like, see one, do one, teach one. So then you can explain to me how you're doing it.

34:02 You know, that is going to be so much more helpful and organized than you going in and being like, I don't know, because the nurse has no idea what you know.

34:11 Your nursing instructor in real life has no idea where you are in this process, if we're being totally honest. Um, and this also just makes it so much more manageable for the nurses who a lot of times, um, like Jodi Ann said, a lot of nurses are frustrated at having students because they're already overwhelmed. Um, and this gives someone a very clear I was like, delighted when students were like, I want to learn this one thing today.

34:37 I was like, I can do that.

34:38 So it leads to a lot less frustration and overwhelm on everyone's parts.

34:42 And you actually get to like, really learn the skill. Because if you think about it, if you learn like one skill a day, every single day, you're at clinical, then mark it off and the next day you're at clinical. Pick a new skill and then you can like practice some of them twice. And then if you're comfortable with the skill you learned last time, you can be like, oh, I actually did that on this person the other day. Like, could I do that too? And the person might be like, yeah, let's try that again. And you're going to accumulate so many more skills and see so many more things.

35:06 Um, the nurse, if they're looking over the list, might be like, oh, we don't have a patient that actually has this, but it would be cool if you saw this and they'll go get someone else and pull you into things, and it's just overwhelming and it's so much easier from a nursing perspective.

35:18 Um, to have someone who has a list, um, if you have.

35:22 That's my biggest tip for clinical if you have other questions about clinical. Um, we are going to have time, I think, at the end of this to do a little bit of a Q&A. Um, and we can address them there.

35:33 So if this was helpful, hopefully you learned something.

35:38 Um, like I said, I just made a nursing school survival guide of all of the things that are like, I was not a great student in nursing school, and I learned a lot of things, and then things were a little bit better in NP school. Um, but I learned a lot of things the hard way by doing them incorrectly and then having to figure out solutions by myself. And I made this, um, of all the questions that I had or people have come to me over on YouTube over the years and I just regurgitated into this, of course, that you can watch over on Lecturio.

36:09 You can pick and choose what topic is applicable to you at the time.

36:14 It covers from like prereqs, like how to even apply to nursing school, how to pick a nursing school program. So a lot of you that probably won't be super applicable all the way through. Like what happens after I graduate? How do I write the name? My name? Like what on earth is licensing? What are compact states? How do I apply for a nursing job? What are red flags in interviews like all of that type of stuff down to like what if I disagree with my teacher? How do I go about that? Because oh goodness, I goodness I have disagreed with humans before.

36:43 What happens if my nurse hates me and clinical all of those questions? Um, getting mandated and floated? What is your work going to really look like? Uh, this is all in there.

36:54 And you can kind of just pick and choose as it is applicable, and so you can go check it out.

36:59 Um, hopefully it's helpful. If this was helpful, then that will be helpful.

37:03 Um, Um, and, yeah, I, I made it so say nice things about it.

37:10 Just kidding. But really.

37:11 And then this is our other baby, um, that I'm very proud of.

37:16 And you're the first people to hear about it, so yay, you. So one of the things that I saw over and over again when I was went to conferences, um, with Lecturio or from people in the chat, like when we do these lives, they're like, oh, this is great. I wish we could keep like, we could have this, but like all the time as, like a Chat. And I was like, I can try to, I volunteered stupidly.

37:40 I was like, I'll figure it out.

37:41 I'm not technical, but it has taken me nine years to make a discord server.

37:48 So this is our discord server.

37:49 You can access it, anyone can join it.

37:52 You just have to go through and sign like, um, to become a member. You have to just like go through all the safety things like, hi, I'm not a robot and verify your email.

37:59 And this is the place that we designed for you for, um, there's a pop up link where you can go over and check it out, and it's ordered by category.

38:10 Let me show you. Um, I'm going to pull up really quick.

38:13 Let me just pull it up and I'll show you what it looks like.

38:16 Um, and then afterwards, I will show you how to access it from Lecturio page. But I know right now we have, like, a link right to it.

38:23 So I will just show you kind of what it looks like.

38:27 It is, um, basically a hub for people to be able to come and talk and ask questions with other nursing students.

38:39 Right. The goal is that it's kind of a, you know, we built it, but it's really your house.

38:46 Um, we're going to host events on here.

38:48 We're going to there's going to be there's study rooms here down at the bottom.

38:52 There are you can look things up by subject.

38:55 So a lot of these right now are blank because we haven't no one's gone in and like chatted in them yet. But let's say you had a question about clinical skills.

39:04 You could come to the clinical skills tab and you could type in it and you could be like, oh my gosh, friends, like, I, I need help with this and people can share information with you. We, um, there's a lot of Lecturio moderators that are going to be popping in, and we can answer questions for you.

39:20 Um, but this is basically I broke it down as topic specific as possible.

39:25 All of your different courses are here under subjects.

39:29 Um, when you first sign in, uh, you should start here.

39:32 You should read the rules.

39:33 You can. The rules are basically.

39:35 Don't be a jerk. So that's what that is.

39:38 You can then make your own name badge by coming over here.

39:41 Um, and you can tell us your pronouns.

39:44 You can say where you're from, you can say your nursing school status. And that is going to show up over here.

39:48 Like if you highlight your name, it'll tell you like what your stats are.

39:53 The more you use the platform, the more privileges you get.

39:56 So if you end up being someone who's like on here all the time and chatting and doing the thing, you will slowly gain like moderator privileges, so that you can kind of get more involved with the group, or you can go in and make like just get to be in charge of it a little bit more.

40:13 Um, it'll level you up and it'll send you a message.

40:15 And so it's kind of like, you know, whatever you would like it to be for. Um, you can come here and introduce yourself under the introduction tab.

40:25 If we have announcements that we want you to know about.

40:28 Um, like where I'm shamelessly telling you about my Lecturio course, that I think everyone should go watch. Um, we can put them here.

40:34 This is just a general discussion tab.

40:36 Um, this is going to be questions about the nursing Product.

40:40 If you are using Lecturio and you're like, I don't get it, I need help, you can come and you can. I'm going to put tutorials up on this part that'll walk you through it.

40:47 Or you can ask questions here here.

40:50 Um, as you can see, I was incredibly proud that it worked.

40:53 This was after so much time.

40:55 And Kate, one of our Lecturio, she typed a message and I received it and my mind was blown. It was a very good day for me. August 17th.

41:02 Um, in case you can't tell, it didn't work many times before.

41:05 It did work. So, um, if and then, like I said, all the subjects here clinical clinical must haves, if you just want to pop in and be like, what kind of shoes do I need? Or like, what are the best compression socks? Just ask. Someone will hopefully tell you clinical wins. This is for if you just need a spot to come and be like, I did this today and it was great, and I figured this could be a great place for like other people, when they're feeling like the worst day they could come and be like, okay, I will eventually have a win.

41:30 Or questions. What questions do you have about clinical that your peers or I could answer? Nursing school survival guide this is, um, Chat for all things nursing school.

41:39 This is like a no judgment, no holds barred, like I hate everything.

41:44 Does this get better? Ask those type of things post webinar chats.

41:47 When we have webinars like this, we can continue the conversation in this section, right? And just keep on going.

41:53 General questions can go here. Find a friend.

41:56 If you just want to connect with people who are also pre-nursing students, new grad nurses, third year nursing students.

42:01 You just want to be like, why is third year the worst? Why? And then all the fourth year you can go in here and all the fourth year will be like cruising to graduation.

42:09 You can find your friends, jobs, potential jobs.

42:13 What kind of jobs do you have in nursing school? What kind of nursing jobs? Like, just kind of like scoping it out.

42:18 Um, does anyone have any tips for resume writing these type of things all in there? Um, recommendations. This is where you can tell me.

42:26 What would you like to see? Um, what would you like to learn about? Um, both on Lecturio and on the discord server.

42:33 So if you want to see more sidebar things here like, hey Liz, could you add a topic on, um, I don't know, funny nursing memes? Um, the answer for right now is no, because I can't figure it out, but I will work on it.

42:44 Um, or hey, I would love it if Lecturio had, I don't know, come up with it and then I will take the information back to the powers that be and see what I can do. Um, and then recommendations for general life hacks. You know, this can be anything. This can be like, I found this water bottle and it changed my life. Or this pen.

43:00 This pen is the best pen for writing notes.

43:03 Anything you want. Study rooms.

43:05 These we are going to, um.

43:07 Right now there is, I think, 1 or 2 that are open and in these you can literally just go in and then tell your friends, like if you have three friends and you're like, I want to go virtually study with you.

43:17 Um, you can just go into these study rooms and it's Audio so you can just chat with each other. You could do this cross-platform, like if you coordinated a study group with other people who were in, like, say you're chatting with Susan, who's also in gerontology, and you're like, actually, I have a test on the exact same thing. Do you want to go chat in a, um, a study room and we can study together even though we aren't in, like, the same place? You can go do that.

43:42 Um. Break rooms. This is just like a general chat where you can just go and have non-nursing discussions and just hang out and talk.

43:50 Um, and that is what we have so far.

43:53 Like I said, if you want to see other types of things on here, by all means. But that is what we have at the moment.

44:01 Um, and if you want to find it, um, let me show you how you can find it if you're on Lecturio website already.

44:11 Let me see if I can figure it out.

44:13 I'm sure I can. I believe in myself.

44:15 Okay. So it is going to be right over here.

44:18 Um, this is your Lecturio home page.

44:20 In case you are, um, unfamiliar with Lecturio whatsoever.

44:24 Um, if you're on the web browser, this is what it looks like.

44:27 It'll come and it'll tell you there's a, um, study planner. So you can type in your due dates for, like, I have to know, all the respiratory, um, medicines in pharmacology. My two Fridays from now, it'll schedule out all your studying, and this will be your due thing. So I am a very bad student.

44:40 I have 127 overdue. Yikes.

44:43 My bad. Um, question bank is where you.

44:46 If you're studying and, you know, I have a test on those respiratory meds in pharmacology, and it is in two Fridays, maybe a week before you can make your own.

44:57 Um, question banks so you can go in here and you can say, hey, I want to create a custom test.

45:03 Or if it's a thing that we have a learning path for, so perfect. Um, pharmacology exam prep, I need to know, um, medication safety.

45:13 I have an exam on that this Friday.

45:15 Take me to a test, or you can make a custom one if you want to do that.

45:18 So that's kind of what that is.

45:20 Um, but we came here for the community page before my ADHD took us on an adventure on the left hand side. It doesn't work in the mobile app yet.

45:27 Um, it will one day, but, um, like I said, it took me nine years to make this, and, um, my cutoff was back to school and the developers got like three days of notice and it just wasn't quite enough time for them.

45:38 Understandably. They're like, wow, that took you forever.

45:40 I'm like, well, I tried.

45:42 You click this button, mine will auto populate and open up my discord app because I have that.

45:48 But it would say discord app is launched, go to discord or if it's you don't have it, it would say like your invitation and just click the invitation button and it would take you right over there. So that is the discord server.

46:01 Um, builtin. It is the app that I'm using.

46:04 I'm using the desktop app.

46:06 I like the app better.

46:07 You can use it on a discord, um, or on a website.

46:12 I think it's cleaner on an app.

46:14 They have apps for, I think Windows and Apple, and then you can get on your phone too.

46:20 I usually use it just for my phone.

46:21 Um, and so that is what that is.

46:26 Um, yeah, that's the desktop app version.

46:28 Jodi-ann said. Yeah. I haven't been on discord since I played World of Warcraft.

46:32 Exactly. This was started for gamers and now other people apparently use it, so I hope that is helpful.

46:39 Um, I'm excited for it.

46:42 Um, hopefully someone else is excited for it.

46:44 Um, please use it. And when it breaks, uh, just let me know.

46:47 Just tag me. I think my handle is at Nurse Liz And, um, just let me know. Uh, I anticipate a lot of birth pains since I gave birth to this product.

46:58 Um, we'll see where it goes.

47:00 And, um, if you have the app, it might not look like mine.

47:03 It might be just a different version.

47:05 Um, but we should hopefully get there.

47:07 If you are in the app and you are noticing it is not letting you comment, it is because you have not accepted all the safety things.

47:13 You'll be able to read it, but you won't be able to comment in order to actually write things just to make sure that you're not some, you know, scammer from the internet, you have to just accept all of the things.

47:23 And Kate just put again in the, um, um, discord community invite.

47:28 That's probably the easiest way for now until we work out the kinks, if we're being totally, totally honest.

47:33 Um, I have where did my, um.

47:39 Can I my slides back? Thanks.

47:42 Thanks, friends. Um, I was like, wait, I am missing something.

47:46 Um, so one would think, as a human of the internet, I could do this, but I struggle.

47:51 Okay, so basically what Lecturio is it is a online nursing school parallel companion, buddy. Right. So you come in here, let's say you are in, um, someone give me an example.

48:04 Uh, what class are you in that is miserable? And we can help you. Um, let me know of a class that someone is in, and we will work through you. And what? Med search. Perfect. Jodi-ann. What are you learning in med Surge right now? And we will help you plan for it.

48:18 Just as an example of kind of what you can do with it.

48:21 Um, so we have cardiac perfect.

48:23 Okay. So Jodi-ann logs in, she's like, oh my gosh, I am stressed. I have so much happening.

48:28 I have to know like 400 pages of this textbook, um, for cardiac. So you can either go over here and see like, hey is there a learning path for med search? So we go to med search, we click on that and we go down to cardiac disorders. So this is our first one acute coronary syndrome.

48:49 You can pick whichever one you're doing. We're going to say it is acute coronary syndrome that you have a test on. This is what you're learning this week. So you can say okay perfect. It's like hey these are all the videos you need to watch.

49:00 Um, and you go through them, you can watch them on two times speed, you can download them if you're in the app and you just go through them. And then when you're done, you've learned all of the things that you need to learn about this topic. You can go on and you can take quizzes.

49:12 It'll quiz you after every question, after every video you watch. And if you get it right, it'll ask you less often.

49:17 So because it's like, oh, you already know this, we won't waste your time, but if you get it wrong then it'll ask you more often. So it keeps it in the back of your head. And then when you're getting ready for your test, you go and you take your test.

49:27 And if you get one wrong, then it will tell you, um, at the end of it, it'll say, hey, um, this is what you need to go back and it'll say, go watch these videos again. You know, you did great on these topics, but these topics you could probably use watching another video of.

49:42 So it's just a companion to learning all of the topics that you have to learn.

49:49 At the same time, you also get.

49:51 You can also come through here and you can be like, I actually just want to watch a video on like one specific thing.

49:57 You can go to the library, you can go under med surg and you can kind of like pick and choose. Like maybe you already have a pretty good understanding of most cardiac things and you really just want to watch, um, you know, what is collateral circuit circulation.

50:11 This is Rhonda. She's the best.

50:13 Um, we talked about her earlier, and you can see here on this page, you also get access to the transcript in case you just want to read it.

50:21 If you're a reading human, um, it'll give you the objective.

50:24 So what you want to learn from this.

50:25 So when you're watching it, make sure you're thinking back to like, how am I applying this to objectives.

50:29 You can download the slides, um, as the material.

50:32 Um, and you can take notes which will then like, you can print off your notes at the end.

50:37 So that's kind of like all what we have.

50:40 And then here's your quiz question which it'll automatically prompt at the end. So This is kind of what Lecturio is.

50:46 It's pretty great. Um, I they sponsored a video that I did.

50:50 How I got involved with them is they sponsored a video and I was like, I actually like this so much, and I just work for you.

50:54 Like, this is everything I ever wanted. And they were like, oh, um, okay, sure, I guess.

50:58 Um, and now they're stuck with me. So that is what it is.

51:01 It has all of the classes that you will need in school.

51:04 All of the classes. Um.

51:06 Here's mine. It's going to be your favorite class, obviously.

51:09 Nursing school survival guide.

51:10 You are allowed to like other ones as well, but this will always be your favorite.

51:14 You can kind of see it goes through all your different classes. Um, these. If you're already in nursing school, maybe it won't be as applicable.

51:22 But preparing for school didactic all of that.

51:24 So $99 a year or $14 a month.

51:27 Um, it is like cheaper if you just buy it for a whole year.

51:30 But for a lot of people that's not possible.

51:32 So it's $14 a month with the discount if you click the link in this live.

51:38 Um, and. Yes. And Remy.

51:39 Yes. Um, it is free. Discord is free.

51:43 Um, so you can go and sign up there.

51:45 Um, for discord is just for everybody to just go and hang out.

51:50 So if anyone has any questions, um, let me know.

51:55 Um, if everyone already loves Lecturio and uses it, please tell your friends in the chat that I'm not the only crazy one and that other people also like it. Okay. All right, let's go through some questions.

52:05 Um, we have a couple minutes left.

52:07 Uh, Huda said, is the discord community available to browse through phones? Um, yes. So the discord has an app, I believe, for, um, Android and for, um, Apple.

52:22 Um, I use the app all the time.

52:24 That's really the primary way that I use it, uh, for the discord servers that I'm in already.

52:31 And it's very easy. Um, so.

52:34 Yes, um, you can use it on your phone.

52:36 Um, is doing Madeira said is doing.

52:41 Oh, perfect. Is doing a compressed bachelor's of nursing and a master's in nursing in 20 months okay, or am I stepping into something brutal? I mean, it's okay. You are stepping into something brutal. Uh, it is going to be pretty, uh, pretty intense.

52:54 I did a accelerated BSN in 18 months, and I thought that was very, very quick and rough. Um, and so I can't imagine it would be, like, a lot to also tack on a master's degree within that.

53:09 Um, but many people do it.

53:11 And what I tell people who are going into these programs that are really condensed and accelerated is your life is just going to suck for a little while.

53:18 Okay. Um, but it's not going to be forever, and it's going to be so quick that, like, it's really crappy.

53:23 Like, what would you rather have? Would you rather have, like, a really rough two years and then you're done? Or would you rather kind of spread it out over four and have like four like kind of rough years? You know what I mean? Like it's still going to be rough because nursing school is never a walk in the park, but it's totally up to you if you're the person who gets easily overwhelmed. Um, you know, and, like, don't like a lot happening at once. Maybe look for something that's going to take a little bit more time. But if you're someone who's like, just throw it at me, I'm going to grind and I'm going to get through this, you'll be fine.

53:53 And no matter what, again, I would go watch that.

53:55 Like how to get organized for your nursing school semester, because organization is going to be the key to getting through these really fast paced programs, making realistic to do lists, getting everything checked off, looking ahead, avoiding procrastination, and going forward that way.

54:10 Um, Sam said, look guys, I figured out how to get the question on the screen. One day you're going to hear my children in the background.

54:18 It's nap time, I apologize. Okay, there, there they are.

54:22 They're working from home life.

54:23 Um, Simran said I haven't even started my BSN.

54:25 I start next week. Is there anything I should know? Do prepare well. Hopefully this helped you today.

54:30 Um. And then get into good habits.

54:32 Um, the best thing you can really do is just, like, meal prep, a little rest, enjoy your time now, because life's going to get a little chaotic and then plan out your semester.

54:42 So look at all your due dates.

54:43 Put them all in your planner.

54:45 Uh, I call it a day of doom.

54:47 Okay, you're going to have a day of doom. You're going to write it all down. You're going to look at the whole semester, and you're never going to look at it again.

54:52 Because from there on out, you only have to look one or 2 or 3 weeks ahead to know what you have to be working on and schedule it out every single day, and you're going to enter it a lot more confident.

55:01 You won't be looking at the whole semester other than your day of sadness. Um, and watch just watch a lot of Netflix and like, hang out and just enjoy your time before it starts. Um, just, uh, Virginia said just being calm before they start. We're talking about clinicals here. I'm legit scared.

55:16 Okay. So clinical. Uh, you will never feel ready.

55:20 Okay. Welcome to my pep talk.

55:21 You will never feel ready, but you won't.

55:24 Clinical is intimidating, right? And people expect that.

55:28 And the only way you're.

55:29 Which is probably not what you want to hear. The only way you're really going to get more comfortable at clinical is by going to it and realizing that it is.

55:38 You'll get more comfortable with time, right? The first time that I went in to take someone's blood, my first day of clinical ever, my the nurse was like, okay, go get in there, go in, in there and get their vitals. And I thought I was going to like, vomit all over this person because I was so nervous to even go in and be like, hi, I'm your like, I'm the student nurse.

55:58 Like with so and so so it's totally normal.

56:01 Um, now like within two clinicals.

56:05 Then I was like, okay, I can go in, I can talk to someone. I remember they're just humans. This is fine.

56:10 Like, I can do this and you're going to gain a lot of comfortability within that first week. So just know that being scared is totally normal. It does not mean you're not prepared. It does not mean that you're not going to do well at this.

56:22 It's overwhelming. If you've never been in a hospital environment to all of a sudden have to go into one, and everyone else is also scared, um, and they might just not be showing it.

56:31 They might be showing their cute bathroom selfies in their scrubs, but they're also terrified and you are going to be okay.

56:36 And it's okay to tell your nurse I'm really nervous.

56:39 Can you come with me? Um, just communicate that and be like.

56:43 I'm really nervous. I don't want to make a mistake. Can you please. Just like I just need you close, you know? And if you're the other opposite way, maybe you've been a CNA for years. You can totally tell that nurse and be like, hey, I've been a CNA for like five years.

56:56 Um, I'm totally fine going in and doing these vitals.

56:58 Maybe they'll want to watch you really quick because you're kind of borrowing their nursing license. But, um, just communicate that whether you're super comfortable, maybe you're not at all comfortable.

57:07 Maybe you're just a second degree student, and you have been a teacher for ten years, and talking to strangers does not scare you. You know, you're just like, this is totally fine. This is not what makes me nervous. Just communicate your comfort level and go from there. If a student, I would always.

57:20 And I would ask them, like, you're in your nursing nurse, you get assigned to. You might not just ask, but I would just ask people. I was like, how? How are you feeling right now? And some of them were like, I want to die.

57:31 I was like, I will go with like, would it help if I went with you, like what would help here? Just communicate what you need.

57:37 Because the nurse does not know.

57:38 Okay. Communicate what you need, and you're going to be okay. And I'm excited to hear back from you once you've gone and done it.

57:44 And maybe if we have another one of these in a couple months, you're going to be like, people in the comments are gonna be like, I'm terrified, Virginia. You're gonna be like, it's totally fine. It's totally, totally fine.

57:54 Tara said, do you have any tips for nursing school writing intensive classes, barf about research papers and how you sourced material without having to read a ton and feeling overwhelmed? So I hated research. So the key to theory classes, in my opinion, and writing classes is, uh, reminding yourself that if you fail, you have to take it again.

58:13 And that's even worse because you don't want to do this twice.

58:17 So that's how I motivated myself.

58:18 You didn't ask, but I felt I should tell you, um, the way that you can read them, um, is by reading the abstract first.

58:26 Um, this is unofficial advice.

58:28 Okay? So technically, you're not supposed to do this. It's fine.

58:30 This is how I did it. You read the abstract first, write the abstract, and then you go down and you read the, um, you're going to want to read just pretty much the you can browse at the results, but those won't tell you a whole lot. You're going to want to read the discussion, abstract discussion, conclusion.

58:47 And then afterwards you should go back to the methods.

58:50 Once you've I would do it in that order.

58:52 Abstract. Discussion. Conclusion.

58:55 And once you've looked at it and decided, okay, this is what the study is telling me, go back to the methods and just see if you can.

59:01 Once you have an idea of what the study actually showed, then you can go back to the methods really briefly and look at like, how did they actually do this? Oh that's weird. They didn't include this entire population of people. Um, you know, oh, the way they collected this data was completely biased, but it's so much easier to already know what they thought happened in their study and then go back to the methods versus doing it the other way around, and you'll get quicker at it.

59:25 But that's pretty much all you have to read out of those.

59:28 Um, and that'll get you a lot quicker with reading, uh, source. Like reading, um, journals.

59:37 And then with the other stuff, just, like, skim it. See if any words stand out to you. You're like, that looks fun. I'll read that. Um, you can probably tell, uh, I passed.

59:46 I'm not the best person to ask for this. I passed my writing classes.

59:50 That's all I can say is I passed, I passed, so I have read a lot, countless research papers, um, now, especially in, like, NP school. And I read them all the time now, like almost for fun. And I like to go back and find which is like, if you told me that ten years ago, I would have laughed in your face. But now that you'll get used to writing journals and then you can kind of go back, and I like to try to pick it apart and be like, where did you go wrong here? Study like, I look at everything so critically and I believe nothing. I'm like, how did you screw this research up? Let me find your flaws.

1:00:19 And that makes it kind of fun. If you go through and you pick it apart and you're like, where did you go wrong? Where did you go wrong here, friends. So you can also view it as a competitive game with yourself against the world, which you don't have to do, but it certainly will keep you entertained.

1:00:33 Um, okay. Let me. Oh, what did I do? I think that's everything.

1:00:39 Friends. Um, I don't see any other questions that are marked.

1:00:44 Let's take that off. Perfect.

1:00:45 Um, but yes, Tara says barf.

1:00:48 I agreed, and thanks. Um.

1:00:50 So, um. Oh, there are more.

1:00:53 Um, let me see. Kate, tell me what? Um, um, do you want me to keep reading more? What should I do? Tell me.

1:01:01 Um, I'm not in charge here.

1:01:03 Kate's in charge. Take two more if you want.

1:01:05 Perfect. Okay, we'll take two more. Um, let me see.

1:01:09 How can you. Oh, I'm not going to be help here.

1:01:11 How can I master an ati capstone? Um. I don't really know.

1:01:18 Um, I don't even really know what an ATI capstone is.

1:01:20 I had a capstone, but it was a project, so it wouldn't have been something I did through ATI because we had ATI tests.

1:01:25 But this is where I admit that I went to nursing school, um, well over a decade ago.

1:01:32 And I can't help you here if anyone in the chat can help.

1:01:34 Um, Rigoberto, with this question, please do, because I feel bad that I can't.

1:01:39 Um, and, Huda, this is probably the last question, um, that we have. Um, so make sure to if you have other questions, you can always go to the discord server and you can ask them there because we're just going to be able to continue this conversation there. And um, don't forget to check out the sale that you get if for being here.

1:02:01 Um, really is the best $99 you will ever spend.

1:02:04 833 a month, I think. Um, this is everything that I wish I would have had in nursing school and more. Um, and like I said, I literally asked them if I could work here because I was like, oh, that's like everything. I was going to come up with my own, like, studying app once upon a time. And I was like, actually, you already built it and I like it better, so I'll just work for you.

1:02:23 Um, so do go check it out.

1:02:24 Um, Huda said I'm a fresh air person when it comes to clinical, and sometimes I see seniors doing some procedures in a very sterile way, and when I ask them about it, they it turns out rude and it actually backfires. Like it's scenarios like this.

1:02:36 What should I do? Should I keep quiet or what? Um, so if you are seeing, I think what you're trying to ask tell me if I'm wrong, is you are seeing people do things.

1:02:46 Um, not the correct way, uh, because you might see people doing so.

1:02:53 There's, like, the way you learn in nursing school, and then there's the way that you do it, even like in real life.

1:02:59 And they're different. Um, if it's different, I would just at this point not say anything later on.

1:03:04 You could be like, hey, like, I see you doing it differently.

1:03:07 Like, um, is this how, like you were to, like, just asking, like, genuine questions, like, oh, like, um, is this just a way, like, is this a different way to do it? Like, I learned how to do it like this, as long as you come at it with, like, no judgment. Um, and but that'll be later.

1:03:21 Honestly, if you are a freshman, if you are a sophomore, if you're a you're a junior, even like you're there to learn, you're there to learn new tech, new ways.

1:03:29 You're going to see a lot of things in clinical, and they're not going to be things you're going to learn a lot of like, oh, I actually don't ever want to be like that person. Or like, hey, that's a new, different way of doing things. You're going to see a lot, and you get to then pick what you take with you into your own nursing practice, because we all kind of pick and choose different things and bring them with us into the nurse that we are out in the world.

1:03:50 Right. So it's really if it was a colleague and you were working on the floor with them one day and they were like doing something terribly unsterile, you could be like a friend. Like you friend.

1:03:59 Do you realize what you're doing? Like, hey, uh, you're kind of breaking sterile technique there. Um, my friend, uh, here.

1:04:04 But that's as a peer, right? If it is not, if it's something that really alarms you for, like, patient safety, you could go tell your clinical instructor, but you don't need to be the person to go tackle that.

1:04:14 If you see a nurse or a senior doing something differently, they might have just been taught a different way. Or they might be, you know, you can ask someone, your clinical instructor or someone else about it, but I don't think there's any need to call like a ton of attention to it.

1:04:29 Hopefully that helped you answer your question.

1:04:31 Um, so yes. Um, discord server, go sign up.

1:04:36 We'll be there in the chat. It'll be a good time.

1:04:38 Sign up. Uh, we have our little thingy majiggy on the the the screen.

1:04:45 Um, it's very fancy sales term.

1:04:47 Um, thingamajiggy here on the screen that has the discount code.

1:04:50 It will also be in a email that I am sure you will get along with the, um, replay of this in case you want to go and copy all the tables and stuff.

1:05:00 So thanks for coming, my friends.

1:05:02 Um, I hope that you learned at least one thing and you're going to do great.

1:05:07 Just remember, you are going to be just fine.

1:05:09 You can do the hard things.

1:05:10 Uh, you are not alone.

1:05:12 If you're feeling overwhelmed, everyone else feels like that. And you are more than enough. Just like you are friends.

1:05:16 More than enough. All right, friends, I will see you later.

1:05:22 Bye.